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NADER M BAHADORY DO

>> Emergency Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1790894319

Individual Registrant:
 NADER M BAHADORY DO
Gender: M
Not Sole Proprietor

Location and contact information for practice:
365 MONTAUK AVE  NEW LONDON, CT 06320-4769 US
Tel: 860-442-0711  Fax: --

Contact information for business:
20 YORK STREET, CB-329  NEW HAVEN, CT 06510-3220 US
Tel: 203-688-1743  Fax: 203-688-9638

Registration Information:
NPI: 1790894319
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207P00000XAllopathic & Osteopathic Physicians
Emergency Medicine
CT000484
N207P00000XAllopathic & Osteopathic Physicians
Emergency Medicine
RIDO01020

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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